The surgery itself is done as a outpatient. I'm normally let go soon after waking up. (Though I did once have an unrelated complication and they kept me overnight).
The pain post surgery was pretty unbearable for me the first week while I had the catheter in. I also had a LOT of involuntary sphincter muscle spasms after my first three surgeries. Each spasm was enough to bend me over and make the room spin. I'm told this is very uncommon though, and most anyone should not experience that.
Either way, they will give you good pain meds afterwards. You will be expected to fill it yourself after the surgery though. I just have them call it in and have my designated driver pick it up with me on the way home.
You will be in more pain than from just the catheter though, and it is more of a localized ache. Not sharp, but still concentrated, if that makes any sense. Regardless, the pain meds make it manageable. Just don't expect to go to work until after that catheter is out!
Lastly, I am infertile by choice of a vasectomy. Needing to wear diapers alone can prevent your sperm from fully developing, which can render you infertile. There is also the possibility (which happened to me), where the surgery can also make you have a retrograde ejaculation. This too will render you mostly, if not fully, infertile.
I do still get erections and can still climax just fine as usual. If anything, getting an erection with a catheter in is the most concerning and painful thing. (Which thankfully will quickly kill that off). While the surgeries themselves didn't change my sex drive (other than the expected delay as I healed), it certainly can affect your drive or ability (like it did with me). I suppose it's all a balanced gamble we have to accept with this surgery.
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